My Way Youth Mentoring Project-EOI to become a Youth Mentor

If you prefer to fill this out by hand and send in, please download the PDF HERE, otherwise fill out the automatic form below

PLEASE ENSURE ALL ENTRIES ARE COMPLETED








DETAILS:


ADDRESS:

Post Code

Occupation

Date of Birth

What is your cultural background?

Do you fluently speak a language other than English?

If Yes, What Languages?

Do you hold a current Driver’s Licence?:
Do you have access to a vehicle?:

What is your current employment status?

Are there any conditions impacting your ability to Mentor:
If yes, please specify

Are you an Australian citizen or permanent resident?

Do you have connections with the Criminal Justice System? (Answering yes to this question will not affect your chances of becoming a Mentor).
If yes,please provide connection details:
I am willing to enter into a Mentoring Agreement?

I am willing to abide by a Mentoring COC

I agree to participate in 2 days training if necessary

I agree to attend on-going training

I agree to complete Mentee activity sheets about interactions with Mentee’s

Please supply 2 phone and email contacts for references:

Please list any previous volunteering

How did you hear about us?

Why are you interested in mentoring:
Knowledge of issues faced

What qualities/life experience you can bring?

What does ‘at-risk’ mean to you?

Your Mentee Kate is 14 nearly 15 years old. She lives with her mother and father and younger brother. Her parents both work full time and have what seems to be a happy home life. Katie has recently been caught by her parents sneaking out of the family home and drinking alccohol, there are also concerns relating to her school attendance and her overall attitude is withdrawn and there is concern for her mental health. As Katies Mentor, how do you think you could best support her?

Response to scenario